Genesis N Vera de Jesus, OTA/L

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

1142 Issued in PR

Practice address

2972 Ave Emilio Fagot
Ponce, PR 00716-3615

Phone

(787) 651-7691

NPI assigned

Jan 19, 2024

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1851152631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163615",
            "telephone_number": "787-651-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163615",
            "telephone_number": "787-651-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA DE JESUS",
        "first_name": "GENESIS",
        "middle_name": "N",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "PR",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106093",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giovanni Veloz Irizarry, M.D.
• Pedro J Vendrell Martin Sr., MD- ENT HNS
• Gerardo Jorge Vendrell, M.D.
• Pedro Vendrell, M.D.
• Venegas Medical Group, LLC
• Bryan Ahmed Vera Nieves, MD
• Mayra Vera-Ramirez, M.D.
• Alexis Vera
• Carmelo Vera
• Zoe I Vera, PHD.

• Occupational Health Nurse Practitioner in Ponce, PR
• Providers in Ponce, PR by specialty
• Occupational Health Nurse Practitioner in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.